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目的探讨并比较区域性切除术与腺体浅叶切除术治疗腮腺浅叶良性肿瘤的效果。方法选取2012年5月—2014年5月医院收治的腮腺浅叶良性肿瘤患者86例作为研究对象,根据手术方法将患者分为2组,A组43例行区域性切除术,B组43例行腺体浅叶切除术,记录两组手术情况及解剖面部神经支数,术后随访1年,对比2组神经损伤程度及并发症发生率。计数资料采用χ2检验,计量资料采用t检验,P<0.05为差异有统计学意义。结果 A组手术时间、术中出血量、切口长度、解剖面部神经支数分别为(81.26±52.96)min、(45.29±15.69)ml、(6.24±1.59)cm、(1.43±0.59)支,均显著低于B组[(128.43±18.67)min、(67.74±13.11)ml、(14.82±3.28)cm、(3.52±0.43)支],对比差异均有统计学意义(均P<0.05)。A组中重度至极重度神经损伤率为2.33%,显著低于B组的16.27%,对比差异有统计学意义(P<0.05);A组耳周麻木、术区凹陷明显的概率分别为9.30%、0,显著低于B组的27.91%、9.30%,对比差异均有统计学意义(均P<0.05)。结论区域性切除术治疗腮腺浅叶良性肿瘤疗效确切。
Objective To investigate and compare the efficacy of regional resection and glandular lobectomy in the treatment of benign parotid gland tumors. Methods Totally 86 patients with benign lesions of parotid glandular tumors in our hospital from May 2012 to May 2014 were selected as the study subjects. The patients were divided into two groups according to the operation method. Forty-three patients in group A underwent regional resection and 43 patients in group B Line gland shallow lobectomy, the two groups of surgical conditions and anatomic facial nerve branches were recorded, followed up for 1 year after surgery, compared with two groups of nerve damage and the incidence of complications. Count data using χ2 test, measurement data using t test, P <0.05 for the difference was statistically significant. Results The operation time, intraoperative blood loss, incision length and anatomic facial nerve branch number in group A were (81.26 ± 52.96) min, (45.29 ± 15.69) ml, (6.24 ± 1.59) cm and (1.43 ± 0.59) (128.43 ± 18.67) min, (67.74 ± 13.11) ml, (14.82 ± 3.28) cm, (3.52 ± 0.43), respectively. There were significant differences between the two groups (all P <0.05). A group of moderate to severe neurological injury rate was 2.33%, significantly lower than 16.27% in group B, the difference was statistically significant (P <0.05); A group of ears numbness, the apparent depression were 9.30% , 0, which were significantly lower than those in group B (27.91%, 9.30%, respectively). The differences were statistically significant (all P <0.05). Conclusions Regional resection is effective in the treatment of benign parotid gland tumors.